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Catheter-Associated Urinary Tract Infections

Heidi L. Wald, MD, MSPH; Andrew M. Kramer, MD

JAMA. 2007;298(23):2782-2784.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

First, do no harm" is one of the enduring principles of the health care professions. In a painful irony, however, the current reimbursement system not only fails to penalize hospitals for largely preventable harms due to medical care, but it often rewards them in the form of additional reimbursement.¹ That paradigm will change, however, in response to a modification to the Inpatient Prospective Payment System (IPPS), which the Centers for Medicare & Medicaid Services (CMS) instituted on August 1, 2007. Following a congressional mandate,² the CMS has reshaped the reimbursement system to hold hospitals accountable for failing to avert 8 largely preventable harms (Box) resulting from medical care.³

Box. Hospital-Acquired Conditions Selected for Fiscal Year 2008 Final Rule (in Rank Order) Serious preventable event—object left in place during surgery Serious preventable event—air embolism Serious preventable event—blood incompatibility Catheter-associated urinary . . . [Full Text of this Article]

The Rule Change Explained

Author Affiliations: Division of Health Care Policy and Research, University of Colorado at Denver and Health Sciences Center, Aurora.

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